Prepectoral breast reconstruction with complete implant coverage using double-crossed acellular dermal matrixs

Area of Science:

• Plastic Surgery
• Oncology
• Biomaterials

Background:

• Prepectoral implant-based breast reconstruction with acellular dermal matrix (ADM) offers advantages over traditional dual-plane methods.
• Current techniques often involve single, large ADMs for full implant coverage.
• This study investigates the efficacy of using two double-crossed ADMs for prepectoral breast reconstruction.

Purpose of the Study:

• To evaluate the usefulness of a prepectoral implant covering technique using two double-crossed acellular dermal matrices (ADMs).
• To compare this technique with traditional dual-plane subpectoral breast reconstruction methods.

Main Methods:

• Retrospective evaluation of 23 patients undergoing immediate prepectoral implant-breast reconstruction.
• Assessment included preoperative characteristics, cancer treatment, postoperative complications (necrosis, capsular contracture, infection), and 12-month patient satisfaction.
• Patients received skin-sparing or nipple-sparing mastectomy followed by reconstruction.

Main Results:

• The cohort included patients with ductal carcinoma in situ and invasive ductal carcinoma.
• Postoperative complications included capsular contracture (4.3%), wound dehiscence (8.7%), and seroma (13.0%).
• All patients reported high satisfaction with breast symmetry, size, shape, feel, pain, scar, self-confidence, sexual attractiveness, and overall outcome.

Conclusions:

• Complete implant coverage with double-crossed ADMs in prepectoral breast reconstruction is a viable alternative.
• This technique achieves high patient satisfaction.
• It offers comparable or improved outcomes to traditional dual-plane subpectoral methods without significant adverse events.